Listeriosis associated with pre-prepared sandwich consumption in hospital in England, 2017

J. McLauchlin*, H. Aird, C. Amar, G. Boyd, A. Brindle, T. Dallman, K. Jalava, A. Painset, A. Simbo, M. Swindlehurst

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review


A case of listeriosis occurred in a hospitalised patient in England in July 2017. Analysis by whole genome sequencing of the Listeria monocytogenes from the patient's blood culture was identified as clonal complex (CC) 121. This culture was indistinguishable to isolates from sandwiches, salads and the maufacturing environment of Company X which supplied these products widely to the National Health Service. Whilst an inpatient, the case was served sandwiches produced by this company on 12 occasions. No other cases infected by this type were detected in the UK between 2016 and 2020. Between 2016 and 2020, more than 3000 samples of food, food ingredients and environmental swabs from this company were tested. Listeria monocytogenes contamination rates declined after July 2017 from 31% to 0.3% for salads and 3% to 0% for sandwiches. A monophyletic group of 127 L. monocytogenes CC121 isolates was recovered during 2016-2019 and was used to estimate the time of the most recent common ancestor as 2014 (95% CI of between 2012 and 2016). These results represent persistent contamination of equipment, food contact surfaces and foods at a food manufacturer by a single L. monocytogenes strain. Colonisation and persistent contamination of food and production environments are risks for public health.

Original languageEnglish
Article numbere220
JournalEpidemiology and Infection
Publication statusPublished - 30 Sep 2021

Bibliographical note

Funding Information: This research did not receive any specific grant from funding agencies in the public, commercial or not-for-profit sectors.

Open Access: . This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence
which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited

Publisher Copyright: © The Author(s), 2021. Published by
Cambridge University Press.

Citation: McLauchlin J, Aird H, Amar C, Boyd G, Brindle A, Dallman T, Jalava K, Painset A, Simbo A, Swindlehurst M. Listeriosis associated with pre-prepared sandwich consumption in hospital in England, 2017. Epidemiol Infect. 2021 Sep 30;149:e220.

DOI: 10.1017/S0950268821001916


  • Listeria monocytogenes
  • food and environmental surveillance
  • food safety in hospital
  • listeriosis
  • pre-prepared sandwiches
  • whole genome sequencing


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